Department of Health, Kinesiology, and Applied Physiology, Concordia University, and Montréal Behavioural Medicine Centre, CIUSSS-NIM, Hôpital du Sacré-Coeur de Montréal, Montréal, Québec, Canada.
Department of Clinical Nutrition & Dietetics, Faculty of Nutrition Sciences and Food Technology, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Behav Med. 2024 Jan-Mar;50(1):37-46. doi: 10.1080/08964289.2022.2092442. Epub 2022 Aug 17.
Obesity is associated with maladaptive eating behaviors, including food addiction (FA) and binge eating disorder (BED). However, the key factors influencing the development of maladaptive eating behaviors remain unknown. Adherence to specified dietary patterns has been suspected of making indirect impacts. This study investigates the association of FA and BED with dietary patterns and anthropometric measurements among 400 Iranian adults (aged 18-60; 66.25% women) living with obesity (body mass index [BMI] ≥ 30 kg/m). The Binge Eating Scale and Yale Food Addiction Scale were used to measure BED and FA. A validated 147-item semi-quantitative food frequency questionnaire underwent principal component analysis and identified three major dietary patterns: , , and dietary pattern. After adjusting for confounders, higher adherence to unhealthy dietary patterns was associated with an increased risk of FA, while higher adherence to healthy dietary patterns was associated with a lower risk of FA. Also, those within obesity class III had a significantly higher risk of FA and BED than those in obesity class I. This study suggests that adherence to an unhealthy dietary pattern may be associated with a higher risk of FA. It also highlights the link between higher BMI and maladaptive eating behaviors.
肥胖与不良进食行为有关，包括食物成瘾（FA）和暴食障碍（BED）。然而，影响不良进食行为发展的关键因素尚不清楚。人们怀疑特定饮食模式的坚持会产生间接影响。本研究调查了在 400 名伊朗成年人（年龄 18-60 岁；66.25%为女性）中，FA 和 BED 与饮食模式和人体测量指标之间的关系，这些成年人患有肥胖症（身体质量指数 [BMI]≥30kg/m）。使用暴食量表和耶鲁食物成瘾量表来衡量 BED 和 FA。经过主成分分析，验证后的 147 项半定量食物频率问卷确定了三种主要的饮食模式：,, 和 饮食模式。在调整混杂因素后，较高的不健康饮食模式依从性与 FA 风险增加相关，而较高的健康饮食模式依从性与 FA 风险降低相关。此外，肥胖症 III 级患者的 FA 和 BED 风险明显高于肥胖症 I 级患者。本研究表明，坚持不健康的饮食模式可能与 FA 风险增加有关。它还强调了更高 BMI 与不良进食行为之间的联系。
